Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. DEIDRE JOY BANAHAN
ActiveMRS. DEIDRE JOY BANAHAN is a Massage Therapist healthcare provider located in BELLEVILLE, Kansas. NPI 1174033708 is currently active in the NPPES registry. Verify at CMS.
Massage Therapist · BELLEVILLE, KS
Registration Details
- NPI Number
- 1174033708
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 10, 2017 (8.7995481354674 yrs)
- Last Updated
- Oct 10, 2017
- License
-
3225 (NE)
Practice Information
- Address
-
1913 M STBELLEVILLE, KS, 669352238Browse KS providers · Browse ZIP 66935
- Phone
- 7859552233
- Primary Specialty
-
Massage Therapist
225700000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.